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      Challenges faced by social workers in rendering services to nyaope substance users

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          Abstract

          Use of nyaope amongst South Africans has risen dramatically. Concerns have been expressed about the negative effects this illicit drug has on communities. Currently, there is a dearth of scientific evidence on the challenges facing social workers rendering services to nyaope users. This study adopted a qualitative approach guided by ecological systems theory; data were collected through semi-structured interviews through purposive sampling and analysed through identifying themes. The study established that there are many challenges facing social workers working with nyaope substance users such as dishonesty and unreliability of clients; dealing with reluctant and nonvoluntary clients and dealing with clients who return to using illicit opioids.

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          Nested or Networked? Future Directions for Ecological Systems Theory

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            Ecological Systems Theory: The Person in the Center of the Circles

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              Risk factors for criminal recidivism – a prospective follow-up study in prisoners with substance abuse

              Background Substance use in general has been shown to predict criminal recidivism. The present study aimed to examine potential predictors of criminal recidivism, including substance-specific substance use patterns, in prisoners with substance use. Methods A cohort of prisoners with substance use problems (N = 4,152) were assessed with the Addiction Severity Index (ASI) in the Swedish criminal justice system. Clients were followed for an average of 2.7 years. Criminal recidivism was defined as any return to the criminal justice system. Results During follow-up, 69 percent (n = 2,862) returned to the criminal justice system. Recidivism was associated with amphetamine and heroin use, with an additive risk for injectors, and with polysubstance use. Also, recidivism was negatively associated with alcohol, other opioids than heroin/methadone and with hallucinogenic drugs, and positively associated with previous psychiatric in-patient treatment, violent behaviour, and with a shorter index sentence. Associations remained when controlling for type of crime. Conclusions Even when controlling for type and severity of crime, and for psychiatric problems, risk of criminal relapse was increased by substance use variables, including amphetamine, heroin and polysubstance use, and an additional risk was shown for injection drug users. These findings have implications for the need for substance abuse treatment after release from prison.
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                Author and article information

                Journal
                sw
                Social Work
                Social work (Stellenbosch. Online)
                Department of Social Work, Stellenbosch University/ Universiteit Stellenbosch (Stellenbosch, Western Cape Province, South Africa )
                0037-8054
                2312-7198
                2022
                : 58
                : 1
                : 30-45
                Affiliations
                [02] orgnameUniversity of South Africa orgdiv1Department of Social Work South Africa maleskj@ 123456unisa.ac.za
                [01] Johannesburg orgnameLife Healthcare South Africa
                Article
                S0037-80542022000100004 S0037-8054(22)05800100004
                10.15270/58-1-995
                8353bc63-f081-4ce6-9341-d2340adedc68

                This work is licensed under a Creative Commons Attribution 4.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 50, Pages: 16
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                SciELO South Africa

                Self URI: Full text available only in PDF format (EN)
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                substance users,challenges,non-voluntary clients,nyaope,social workers,substance abuse

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